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CMS RVU26D · Effective 2026-10-01

28470 in Delaware

Office / nonfacility

$234.56

Base rate per service

Facility setting

$206.51

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Fracture care

About 28470: Closed treatment of metatarsal fracture without manipulation

Reports closed care of an individual metatarsal fracture when the provider immobilizes it without manipulating or reducing the fracture.

This code covers closed treatment of a metatarsal fracture without manipulating the fracture. An orthopedist, podiatrist, or other qualified treating clinician may provide this care in an office, emergency department, or hospital setting. Treatment commonly involves immobilizing a stable fracture with a cast, splint, or walking boot; the code is for fracture care, not simply an evaluation or imaging service. It applies to each metatarsal treated, so the record should identify the affected bone and show that no manipulation was performed.

Report the code for the metatarsal receiving this treatment and document the fracture, treatment plan, and immobilization. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral adjustment is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.

CMS billing rules for 28470

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU1.98 · 28%
  • Practice expense (office) RVU4.83 · 68%
  • Malpractice RVU0.29 · 4%

19.9K

Medicare services in 2024 · #1152 by national volume

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

28470 compared with similar codes

Office rates for Delaware, from the same CMS release.

28475

Metatarsal fracture

Closed reduction, each bone

$273.09

Both address closed treatment of a metatarsal fracture. Use 28475 when the provider manipulates the fracture; 28470 is for treatment without manipulation.

28476

Metatarsal fracture

Percutaneous fixation with manipulation

No office rate

28476 involves percutaneous skeletal fixation of the metatarsal fracture. 28470 describes closed treatment without manipulation or fixation.

28485

Metatarsal fracture surgery

Open treatment, each

No office rate

28485 is for open reduction and internal fixation of a metatarsal fracture. 28470 is closed treatment without manipulation.

The same code, a different location

How does Delaware compare?

28470 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $234.56

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $266.13

    $31.57 higher than Delaware

  3. Dc + Md/Va Suburbs

    $270.53

    $35.97 higher than Delaware

  4. Miami

    $258.57

    $24.01 higher than Delaware

  5. Chicago

    $250.96

    $16.40 higher than Delaware

  6. Manhattan

    $273.19

    $38.63 higher than Delaware

  7. Alaska*

    $276.35

    $41.79 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 28470 ranges from $209.70 in Arkansas to $311.23 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 28470

    Office

    $212.78

    Facility

    $187.93

    $21.78 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 28470

    Office

    $209.70

    Facility

    $185.31

    $24.86 lower than Delaware for the office setting.

  • Arizona

    Arizona · 28470

    Office

    $230.75

    Facility

    $203.24

    $3.81 lower than Delaware for the office setting.

  • Bakersfield

    California · 28470

    Office

    $250.10

    Facility

    $218.99

    $15.54 higher than Delaware for the office setting.

  • Chico

    California · 28470

    Office

    $249.26

    Facility

    $218.15

    $14.70 higher than Delaware for the office setting.

  • El Centro

    California · 28470

    Office

    $249.31

    Facility

    $218.20

    $14.75 higher than Delaware for the office setting.

  • Fresno

    California · 28470

    Office

    $249.26

    Facility

    $218.15

    $14.70 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 28470

    Office

    $249.26

    Facility

    $218.15

    $14.70 higher than Delaware for the office setting.

  • Madera

    California · 28470

    Office

    $249.26

    Facility

    $218.15

    $14.70 higher than Delaware for the office setting.

  • Merced

    California · 28470

    Office

    $249.26

    Facility

    $218.15

    $14.70 higher than Delaware for the office setting.

  • Modesto

    California · 28470

    Office

    $249.26

    Facility

    $218.15

    $14.70 higher than Delaware for the office setting.

  • Napa

    California · 28470

    Office

    $287.85

    Facility

    $250.43

    $53.29 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 28470

    Office

    $264.71

    Facility

    $231.15

    $30.15 higher than Delaware for the office setting.

  • Redding

    California · 28470

    Office

    $249.26

    Facility

    $218.15

    $14.70 higher than Delaware for the office setting.

  • Rest Of California

    California · 28470

    Office

    $249.26

    Facility

    $218.15

    $14.70 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 28470

    Office

    $252.40

    Facility

    $221.28

    $17.84 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 28470

    Office

    $261.33

    Facility

    $228.31

    $26.77 higher than Delaware for the office setting.

  • Salinas

    California · 28470

    Office

    $260.35

    Facility

    $227.45

    $25.79 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 28470

    Office

    $266.31

    Facility

    $232.36

    $31.75 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 28470

    Office

    $304.33

    Facility

    $264.30

    $69.77 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 28470

    Office

    $304.00

    Facility

    $263.97

    $69.44 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 28470

    Office

    $311.23

    Facility

    $270.29

    $76.67 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 28470

    Office

    $309.89

    Facility

    $268.95

    $75.33 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 28470

    Office

    $256.20

    Facility

    $223.86

    $21.64 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 28470

    Office

    $268.73

    Facility

    $234.23

    $34.17 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 28470

    Office

    $261.28

    Facility

    $228.18

    $26.72 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 28470

    Office

    $271.42

    Facility

    $236.55

    $36.86 higher than Delaware for the office setting.

  • Stockton

    California · 28470

    Office

    $249.26

    Facility

    $218.15

    $14.70 higher than Delaware for the office setting.

  • Vallejo

    California · 28470

    Office

    $287.37

    Facility

    $249.96

    $52.81 higher than Delaware for the office setting.

  • Visalia

    California · 28470

    Office

    $249.26

    Facility

    $218.15

    $14.70 higher than Delaware for the office setting.

  • Yuba City

    California · 28470

    Office

    $249.26

    Facility

    $218.15

    $14.70 higher than Delaware for the office setting.

  • Colorado

    Colorado · 28470

    Office

    $246.14

    Facility

    $215.94

    $11.58 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 28470

    Office

    $252.93

    Facility

    $222.35

    $18.37 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 28470

    Office

    $247.07

    Facility

    $218.31

    $12.51 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 28470

    Office

    $234.92

    Facility

    $207.78

    $0.36 higher than Delaware for the office setting.

  • Atlanta

    Georgia · 28470

    Office

    $241.87

    Facility

    $213.03

    $7.31 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 28470

    Office

    $221.58

    Facility

    $196.26

    $12.98 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 28470

    Office

    $255.17

    Facility

    $222.89

    $20.61 higher than Delaware for the office setting.

  • Iowa

    Iowa · 28470

    Office

    $217.59

    Facility

    $191.62

    $16.97 lower than Delaware for the office setting.

  • Idaho

    Idaho · 28470

    Office

    $219.14

    Facility

    $193.02

    $15.42 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 28470

    Office

    $234.06

    Facility

    $207.94

    $0.50 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 28470

    Office

    $228.56

    Facility

    $202.64

    $6.00 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 28470

    Office

    $249.44

    Facility

    $220.29

    $14.88 higher than Delaware for the office setting.

  • Indiana

    Indiana · 28470

    Office

    $220.39

    Facility

    $194.07

    $14.17 lower than Delaware for the office setting.

  • Kansas

    Kansas · 28470

    Office

    $216.85

    Facility

    $191.19

    $17.71 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 28470

    Office

    $218.42

    Facility

    $193.18

    $16.14 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 28470

    Office

    $228.95

    Facility

    $202.23

    $5.61 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 28470

    Office

    $218.19

    Facility

    $193.06

    $16.37 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 28470

    Office

    $270.09

    Facility

    $236.19

    $35.53 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 28470

    Office

    $244.79

    Facility

    $214.89

    $10.23 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 28470

    Office

    $252.28

    Facility

    $221.81

    $17.72 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 28470

    Office

    $238.95

    Facility

    $210.22

    $4.39 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 28470

    Office

    $220.58

    Facility

    $194.46

    $13.98 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 28470

    Office

    $232.12

    Facility

    $203.98

    $2.44 lower than Delaware for the office setting.

  • Detroit

    Michigan · 28470

    Office

    $238.14

    Facility

    $210.75

    $3.58 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 28470

    Office

    $224.36

    Facility

    $198.44

    $10.20 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 28470

    Office

    $235.01

    Facility

    $205.79

    $0.45 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 28470

    Office

    $227.08

    Facility

    $200.42

    $7.48 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 28470

    Office

    $229.42

    Facility

    $202.39

    $5.14 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 28470

    Office

    $214.63

    Facility

    $190.16

    $19.93 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 28470

    Office

    $212.19

    Facility

    $187.75

    $22.37 lower than Delaware for the office setting.

  • Montana**

    Montana · 28470

    Office

    $237.13

    Facility

    $208.74

    $2.57 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 28470

    Office

    $222.84

    Facility

    $196.35

    $11.72 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 28470

    Office

    $231.39

    Facility

    $203.00

    $3.17 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 28470

    Office

    $218.70

    Facility

    $192.49

    $15.86 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 28470

    Office

    $242.55

    Facility

    $213.00

    $7.99 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 28470

    Office

    $267.78

    Facility

    $234.85

    $33.22 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 28470

    Office

    $255.57

    Facility

    $224.57

    $21.01 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 28470

    Office

    $225.70

    Facility

    $199.67

    $8.86 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 28470

    Office

    $235.69

    Facility

    $207.27

    $1.13 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 28470

    Office

    $280.17

    Facility

    $246.41

    $45.61 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 28470

    Office

    $257.48

    Facility

    $226.39

    $22.92 higher than Delaware for the office setting.

  • Queens

    New York · 28470

    Office

    $275.02

    Facility

    $241.46

    $40.46 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 28470

    Office

    $226.20

    Facility

    $199.23

    $8.36 lower than Delaware for the office setting.

  • Ohio

    Ohio · 28470

    Office

    $223.19

    Facility

    $197.27

    $11.37 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 28470

    Office

    $217.72

    Facility

    $192.37

    $16.84 lower than Delaware for the office setting.

  • Portland

    Oregon · 28470

    Office

    $253.63

    Facility

    $222.09

    $19.07 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 28470

    Office

    $233.62

    Facility

    $205.35

    $0.94 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 28470

    Office

    $246.82

    Facility

    $217.27

    $12.26 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 28470

    Office

    $223.38

    Facility

    $197.32

    $11.18 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 28470

    Office

    $238.78

    Facility

    $210.07

    $4.22 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 28470

    Office

    $242.68

    Facility

    $213.35

    $8.12 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 28470

    Office

    $223.43

    Facility

    $197.20

    $11.13 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 28470

    Office

    $230.71

    Facility

    $202.32

    $3.85 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 28470

    Office

    $217.98

    Facility

    $192.17

    $16.58 lower than Delaware for the office setting.

  • Austin

    Texas · 28470

    Office

    $245.53

    Facility

    $215.49

    $10.97 higher than Delaware for the office setting.

  • Beaumont

    Texas · 28470

    Office

    $221.94

    Facility

    $196.10

    $12.62 lower than Delaware for the office setting.

  • Brazoria

    Texas · 28470

    Office

    $234.09

    Facility

    $205.96

    $0.47 lower than Delaware for the office setting.

  • Dallas

    Texas · 28470

    Office

    $235.72

    Facility

    $207.44

    $1.16 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 28470

    Office

    $234.23

    Facility

    $206.24

    $0.33 lower than Delaware for the office setting.

  • Galveston

    Texas · 28470

    Office

    $234.88

    Facility

    $206.69

    $0.32 higher than Delaware for the office setting.

  • Houston

    Texas · 28470

    Office

    $240.19

    Facility

    $212.00

    $5.63 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 28470

    Office

    $227.98

    Facility

    $201.04

    $6.58 lower than Delaware for the office setting.

  • Utah

    Utah · 28470

    Office

    $226.48

    Facility

    $199.79

    $8.08 lower than Delaware for the office setting.

  • Virginia

    Virginia · 28470

    Office

    $231.56

    Facility

    $203.65

    $3.00 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 28470

    Office

    $238.78

    Facility

    $210.07

    $4.22 higher than Delaware for the office setting.

  • Vermont

    Vermont · 28470

    Office

    $230.75

    Facility

    $202.64

    $3.81 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 28470

    Office

    $244.24

    Facility

    $214.35

    $9.68 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 28470

    Office

    $275.30

    Facility

    $240.47

    $40.74 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 28470

    Office

    $223.67

    Facility

    $196.47

    $10.89 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 28470

    Office

    $220.19

    Facility

    $195.52

    $14.37 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 28470

    Office

    $234.63

    Facility

    $206.24

    $0.07 higher than Delaware for the office setting.

See how rates vary across the country

28470 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$209.70

$280.25

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$276.351
AL$212.781
AR$209.701
AZ$230.751
CA$249.26–$311.2329
CO$246.141
CT$252.931
DC$270.531
DE$234.561
FL$234.92–$258.573
GA$221.58–$241.872
GU$255.171
HI$255.171
IA$217.591
ID$219.141
IL$228.56–$250.964
IN$220.391
KS$216.851
KY$218.421
LA$218.19–$228.952
MA$244.79–$270.092
MD$238.95–$270.533
ME$220.58–$232.122
MI$224.36–$238.142
MN$235.011
MO$214.63–$229.423
MS$212.191
MT$237.131
NC$222.841
ND$231.391
NE$218.701
NH$242.551
NJ$255.57–$267.782
NM$225.701
NV$235.691
NY$226.20–$280.175
OH$223.191
OK$217.721
OR$233.62–$253.632
PA$223.38–$246.822
PR$238.781
RI$242.681
SC$223.431
SD$230.711
TN$217.981
TX$221.94–$245.538
UT$226.481
VA$231.56–$270.532
VI$238.781
VT$230.751
WA$244.24–$275.302
WI$223.671
WV$220.191
WY$234.631

Explore 28470 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Delaware →

Why are the office and facility amounts different?

For 28470 in Delaware, the physician’s office rate is $234.56 and the facility-setting rate is $206.51: a difference of $28.05.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 28470 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$258.02

$234.56 × 110% = $258.02

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 28470 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

3,212

Code
28470
Physician work
1.98
Practice expense
4.83
Malpractice
0.29

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 28470 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.98× 1.0051.9899
Practice expense4.83× 0.9884.7720
Malpractice0.29× 0.8990.2607
Total RVUs7.0226
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$234.56

Open 28470 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.981.005
Practice expense4.830.988
Malpractice0.290.899

(1.98 × 1.005 + 4.83 × 0.988 + 0.29 × 0.899) × $33.4009 = $234.56

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.981.005
Practice expense3.980.988
Malpractice0.290.899

(1.98 × 1.005 + 3.98 × 0.988 + 0.29 × 0.899) × $33.4009 = $206.51

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

28470 · Office / nonfacility

$234.56

Effective 2026-10-01

The base rate is $15.32 higher than on 2025-10-01, moving from $219.24 to $234.56 (7.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $219.24changed to$234.56

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.03 changed to 1.98
    • Practice expense RVU 4.50 changed to 4.83
    • Malpractice RVU 0.28 changed to 0.29
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $219.24

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$234.56$206.51RVU26D
2026-07-01$234.56$206.51RVU26C
2026-04-01$234.56$206.51RVU26B
2026-01-01$234.56$206.51RVU26A
2025-10-01$219.24$207.05RVU25D
2025-07-01$219.24$207.05RVU25C
2025-04-01$219.24$207.05RVU25B
2025-01-01$219.24$207.05RVU25A

28470 billing questions

When should 28470 be chosen instead of 28475?

Use 28470 when the metatarsal fracture is treated without manipulation. Choose 28475 when the provider manipulates the fracture.

How is the code reported when more than one metatarsal is treated?

The descriptor is for each metatarsal. Document which metatarsal bones were treated and the treatment provided to each.

Is immobilization included in fracture care?

Casting, splinting, or boot immobilization may be part of the closed fracture treatment. Related postoperative care during the 90-day global period is included.

Should modifier 50 be used for fractures in both feet?

No. CMS identifies bilateral adjustment as inappropriate for this code; report the treated metatarsals according to the code's each-unit structure.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 28470PPRRVU2026_Oct_nonQPP.csv, line 3,212 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet